Individual provider Active NPI

Aaron J Stobbe, D.M.D.

  • General Practice Dentistry
  • Tooele, UT
National Provider Identifier
1689716045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4923271 Issued in UT
Practice address
394 S Main St
Tooele, UT 84074-2746
Phone
(435) 882-2331
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4923271 UT Primary

Addresses

Primary practice location

394 S Main St
Tooele, UT 84074-2746

Mailing address

394 S Main St
Tooele, UT 84074-2746
Phone (435) 882-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4923271UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Family Dental Cottonwood Heights General Practice CurrentSince Jul 12, 2020 Accepting new patients
Stobbe Eggett Dental Past Accepting new patients

Locations

394 S Main St
Tooele, UT 84074
Phone (435) 833-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689716045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-882-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742746",
            "telephone_number": "435-882-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBBE",
        "first_name": "AARON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "4923271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.